october 3rd thand 4 , 2013...an 8-year-old-boy needs to be coaxed to go to school, and often, while...
TRANSCRIPT
![Page 1: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/1.jpg)
October 3rd and 4th, 2013
Presented by Mary Frances Ypma-Wong, Ph.D.
![Page 2: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/2.jpg)
For the classroom and examinations
Created by Mary Frances Ypma-Wong, Ph.D. along with the Student/Faculty Teaching Enrichment Task Force
![Page 3: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/3.jpg)
1. Identify and construct the 3 components of a good exam question.
2. Avoid five common errors in question writing.
3. Employ two common templates for writing questions.
4. Critique and revise example exam questions.
5. Utilize resources with USMLE questions.
Adapted from NBME Constructing Written Test Questions For the Basic and
Clinical Sciences, 3rd edition http://www.nbme.org/pdf/itemwriting_2003/2003iwgwhole.pdf
and NBME podcast http://download.usmle.org/IWTutorial/Practice.htm
![Page 4: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/4.jpg)
![Page 5: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/5.jpg)
Communicate to students what material is important
Motivate students to study
Identify areas of student deficiency in need of remediation or further learning
Determine final grades or make promotion decisions
Identify areas where the course/curriculum is weak
![Page 6: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/6.jpg)
Stem= Clinical Vignette and Lead-in
Options= Answer + Distractors
D C A E B
Least Correct Most Correct
![Page 7: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/7.jpg)
Basic Science Example
Original Question (simple recall): What area is supplied with blood by the posterior inferior cerebellar artery? (answer = cerebellum)
Revised with Stem and Lead-in (application of knowledge):
A 62-year-old man develops left-sided limb ataxia, Horner’s syndrome, nystagmus, and loss of appreciation of facial pain and temperature sensations. What artery is most likely to be occluded?
![Page 8: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/8.jpg)
Basic Science/Clinical Example
Original Question (simple recall): Which of the following organisms produces beta-hemolysis?
(S. aureus)
Revised with Stem and Lead-in (application of knowledge):
A 25-year-old woman with a history of IV drug use presents herself at the emergency department with high fever, chills and multiple skin lesions at injection sites. A blood culture shows yellow colonies with beta-hemolysis on sheep blood agar. Which pathogen has most likely caused her illness?
![Page 9: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/9.jpg)
![Page 10: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/10.jpg)
What disorder causes a child to be afraid of leaving his parent?
A. Childhood schizophrenia
B. Normal concerns of latency-age children
C. Separation anxiety disorder
D. Socialized conduct disorder
E. Symbiotic psychosis
![Page 11: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/11.jpg)
An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home. At night he tried to sleep with his parents and insists there are monsters in his room. These finding are most consistent with which of the following diagnosis?
A. Childhood schizophrenia
B. Normal concerns of latency-age children
C. Separation anxiety disorder
D. Socialized conduct disorder
E. Symbiotic psychosis
![Page 12: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/12.jpg)
Toxigenic food poisoning is caused by:
A. Escherichia coli
B. Proteus mirabilis
C. Salmonella typhimurium
D. Staphylococcus aureus
E. Streptococcus faecalis
![Page 13: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/13.jpg)
At a banquet, the menu included fried chicken, peas, chocolate éclairs , and coffee. Within 2 hours, most of the diners become violently ill, with nausea, vomiting, and abdominal pain. Analysis of the contaminated food is most likely to yield large numbers of which of the following organisms?
A. Escherichia coli
B. Proteus mirabilis
C. Salmonella typhimurium
D. Staphylococcus aureus
E. Streptococcus faecalis
![Page 14: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/14.jpg)
A. collagen
B. corticosteriod
C. fatty acid
D. glucose
*E. heme
![Page 15: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/15.jpg)
A. collagen
B. corticosteriod
C. fatty acid
D. glucose
*E. heme
Diagnosis-Acute intermittent porphyria
![Page 16: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/16.jpg)
![Page 17: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/17.jpg)
Allow for “test wiseness”
Unnecessarily complicate, thus
confuse the test taker
![Page 18: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/18.jpg)
1. Grammatical Clueing
2. Logical Clueing
3. Use of Absolute Terms
4. Word Repeats/Clanging
5. Convergence Strategy
6. Correct answer is the longest- “teaching
moment”
![Page 19: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/19.jpg)
![Page 20: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/20.jpg)
![Page 21: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/21.jpg)
![Page 22: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/22.jpg)
![Page 23: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/23.jpg)
![Page 24: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/24.jpg)
Make answers parallel
![Page 25: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/25.jpg)
1. Unnecessarily long stem
2. Overlapping Options
3. Numeric data is not stated consistently
4. Options are in illogical order
5. Options are long, complicated
6. Frequency terms are vague
7. Use of “all/none of the above”
![Page 26: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/26.jpg)
![Page 27: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/27.jpg)
![Page 28: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/28.jpg)
![Page 29: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/29.jpg)
![Page 30: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/30.jpg)
1. Unnecessarily long stem
2. Overlapping Options
3. Numeric data is not stated consistently
4. Options are in illogical order
5. Options are long, complicated
6. Frequency terms are vague
use of rarely, frequently…
7. Use of “all/none of the above”
![Page 31: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/31.jpg)
USMLE Site
UC Irvine library
Kaplan
USMLE World
McGraw Hill
Amazon
Students themselves
Suggestions?
![Page 32: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/32.jpg)
![Page 33: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/33.jpg)
![Page 34: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/34.jpg)
http://download.usmle.org/IWTutorial/Practice.htm
![Page 35: October 3rd thand 4 , 2013...An 8-year-old-boy needs to be coaxed to go to school, and often, while there, complains of stomach pains so his mother is called to take him home](https://reader034.vdocuments.mx/reader034/viewer/2022042121/5e9ba54d1ef7c462fb41f659/html5/thumbnails/35.jpg)
NBME Subject Exams (moving towards web-based)
Digital Question Bank with analytics?